Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Office Name
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Truck #
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1. Inspect Transmission for Water, Drain Water off, Replace Annually<br>
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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2. Inspect Right Angle Drive for Water, Drain Water off, Replace Annually
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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3. Inspect Hydraulic Tank for Water
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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4. Check and Adjust Clutch (Operation & Maintenance Manual)<br>
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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5. Adjust Rotary Head Chain and Sprocket (Operation & Maintenance Manual)<br>
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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6. Check Mast Sheaves & Bushings for wear
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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7. Inspect all Hydraulic Hoists for proper level of gear oil
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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8. Ensure all Hydraulic Hoist Brakes are functioning properly
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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9. Drain Fuel
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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10. Ensure Engine Govenor is functioning properly
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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11. Inspect Feed Frame for Stress Cracks in Plate or Welds
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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12. Inspect A-frame and Engine Mounts for Stress Cracks in Plate or Welds
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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13. Inspect all Deck Areas and Hydraulic Jacks for Stress Cracks in Plate or Welds
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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14. Ensure that both Channel Cross Members between Rear Hydraulic Jacks have not been distorted from original condition<br>
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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15. Visually Inspect Mast for Cracks at Welded Joints
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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16. Cathead does not have more than 1/8” wear groove
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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17. Kelly Drive Square
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Was vehicle was placed into service?
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Why was vehicle placed into service before maintenance or repair was completed?
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18. Have all guards and/or safety devices been reinstalled after any maintenance activity?
Approvals
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Maintenance Performed by
